eISSN 2097-6054 ISSN 1672-9234 CN 11-5289/R
Responsible Institution:China Association for Science and Technology
Publishing:Chinese Nursing Journals Publishing House Co.,Ltd.
Sponsor:Chinese Nursing Association
Source journal for Chinese Science Citation Database
China Academic Journals Full-text Database
China Core Journal Alternative Database
Scopus
Clinical Practice

Application of “internet plus” continuous nursing service model in patients with severe mental disorders in the stable period

  • Yanping ZHANG ,
  • Fang YAN ,
  • Hailing WANG ,
  • Yanqing HUANG ,
  • Zhengjun GUO ,
  • Quanhui LI ,
  • Jianying WANG
Expand

Received date: 2023-02-20

  Online published: 2024-01-15

Abstract

Objective To explore the intervention effect of "internet plus" continuous nursing service model on patients with severe mental disorder in stable period. Methods A non-contemporaneous control study was conducted, patients who met the diagnostic criteria for severe mental disorders during the stable period were conveniently selected as research subjects. Fifty-five patients who were discharged from January 2019 to December 2019 were identified as the control group, and the Henan Provincial Psychological Assistance Cloud Platform was used to conduct telephone follow-up, health education promotion, and medication reminders. Fifty-nine patients who were discharged from December 2020 to October 2021 were identified as the experimental group. Researchers upgraded the platform and carried out “internet plus” continuous nursing services on the basis of the control group, which included distance education training module(collective health education, drug disposal program training, social skills training, relaxation training); telemedicine diagnosis and treatment module(medication, collective cognitive behaviour therapy, individual psychological consultation); remote home visit module(nursing risk assessment, nutritio-nal assessment, drug side effects assessment, and mental rehabilitation efficacy assessment). Finally, the patient’s mental symptoms, recovery status, self-awareness, and caregiver experience were evaluated before intervention, 6 months and 12 months after the intervention. Results Repeated measurement analysis of variance showed that there were interaction effects between the two groups in the scores of the Nurses’ Brief Psychiatric Rating Scale, Momingside Rehabilitation Status Scale, Insight and Treatment Attitudes Questionnaire, and Experience of Caregiving Inventory before intervention, after 6 months and 12 months of intervention(P<0.05). Simple effect analysis showed that after 6 months and 12 months of intervention, the results of all measurement indicators in the experimental group were better than those in the control group, with statistically significant differences(P<0.05). Conclusion “internet plus” continuous intervention model can effectively reduce patients’ mental symptoms, improve patients’ rehabilitation status and caregiver experience, improve patients’ insight, and improve the quality of life of patients and their guardian.

Cite this article

Yanping ZHANG , Fang YAN , Hailing WANG , Yanqing HUANG , Zhengjun GUO , Quanhui LI , Jianying WANG . Application of “internet plus” continuous nursing service model in patients with severe mental disorders in the stable period[J]. Chinese Journal of Nursing Education, 2024 , 21(1) : 96 -103 . DOI: 10.3761/j.issn.1672-9234.2024.01.016

References

[1] 卫生健康委. 严重精神障碍管理治疗工作规范(2018年版)[Z]. 2018.
[2] Daneshvari NO, Mojtabai R, Eaton WW, et al. Symptom severity and care delay among patients with serious mental illness[J]. J Health Care Poor Underserved, 2021, 32(3):1312-1319.
[3] 张宝霞. 国内外社区严重精神障碍患者管理概述[J]. 中国慢性病预防与控制, 2019, 27(2):140-143.
[4] Curto M, Fazio F, Ulivieri M, et al. Improving adherence to phar-macological treatment for schizophrenia:a systematic assessment[J]. Expert Opin Pharmacother, 2021, 22(9):1143-1155.
[5] Kokurcan A, Güriz SO, Karada? H, et al. Treatment strategies in management of schizophrenia patients with persistent symptoms in daily practice:a retrospective study[J]. Int J Psychiatry Clin Pract, 2021, 25(3):238-244.
[6] Loots E, Goossens E, Vanwesemael T, et al. Interventions to im-prove medication adherence in patients with schizophrenia or bipolar disorders:a systematic review and meta-analysis[J]. Int J Environ Res Public Health, 2021, 18(19):10213.
[7] Leijala J, Kampman O, Suvisaari J, et al. Daily functioning and symptom factors contributing to attitudes toward antipsychotic treatment and treatment adherence in outpatients with schizo-phrenia spectrum disorders[J]. BMC Psychiatry, 2021, 21(1):37.
[8] 孙玉静, 张静, 宇虹, 等. 稳定期精神分裂症患者童年创伤对攻击行为的影响:自尊与心理弹性的链式中介作用研究[J]. 中国全科医学, 2023(23):2899-2906.
[8] Sun YJ, Zhang J, Yu H, et al. Effect of childhood trauma on aggressive behavior in stable schizophrenia patients:the chain mediating effect of self-esteem and resilience[J]. Chin Gen Pract, 2023(23):2899-2906.
[9] 张玉雯. 积极心理学评估应用于精神分裂症康复护理中的效果[J]. 中国社区医师, 2023, 25(4):130-132.
[9] Zhang YW. Effect of positive psychology assessment in rehabi-litation nursing of schizophrenia[J]. Chin Community Dr, 2023, 25(4):130-132.
[10] 张明园, 何燕玲. 精神科评定量表手册[M]. 长沙: 湖南科学技术出版社, 2015:462-469.
[11] 柳群方, 朱紫青, 孟国荣, 等. Morningside康复状态量表的信度和效度研究[J]. 上海精神医学, 1998, 10(3):147-149.
[12] 张敬悬, 李星宝, 翁正, 等. 自知力与治疗态度问卷的临床试用[J]. 山东精神医学, 1994(4):10-13.
[13] 高华, 余西金, 吕锋. 自知力与治疗态度问卷的信效度测定[J]. 中国心理卫生杂志, 1998(2):9-10.
[14] 周英, 崔艳姗, 唐秋碧, 等. 精神病患者照顾者体验量表的汉化及信效度分析[J]. 中国保健营养, 2017, 27(13):20-21.
[14] Zhou Y, Cui YS, Tang QB, et al. Reliability and validity of the Chinese version of experience of caregiving inventory in psychiatric patients[J]. China Health Care Nutr, 2017, 27(13):20-21.
[15] Skoufalos A, N’Dri LA, Waters D. Leveraging digital medicine to support providers and their patients in managing serious mental illness[J]. Popul Health Manag, 2021, 24(S2):S55-S61.
[16] 李文艳, 黄杰瑜, 胡雪钰, 等. 广州市荔湾区严重精神障碍肇事肇祸倾向者社区干预模式研究[J]. 数理医药学杂志, 2016, 29(3):387-388.
[17] 杨学智, 苏映, 马贞玉, 等. 精神分裂症超高危人群保护性因素和早期干预的研究进展[J]. 广西医科大学学报, 2023, 40(5):709-715.
[17] Yang XZ, Su Y, Ma ZY, et al. Progress in the study of pro-tective factors and early intervention in individuals at ultra-high risk for schizophrenia[J]. J Guangxi Med Univ, 2023, 40(5):709-715.
[18] 刘志康, 陈潮立, 林斌洪. 守护APP应用于社区严重精神障碍管理治疗工作中的效果观察[J]. 广州医药, 2018, 49(6):40-44.
[18] Liu ZK, Chen CL, Lin BH. Observation of clinical effect of guarding APP in mental patients monitoring[J]. Guangzhou Med J, 2018, 49(6):40-44.
[19] Mantani A, Kato T, Furukawa TA, et al. Smartphone cognitive behavioral therapy as an adjunct to pharmacotherapy for re-fractory depression:randomized controlled trial[J]. J Med Internet Res, 2017, 19(11):e373.
[20] 卢白莉, 王娟, 陶辉, 等. 药物处置模式在门诊精神分裂症恢复期患者中的应用效果[J]. 护士进修杂志, 2023, 38(4):346-349.
[20] Lu BL, Wang J, Tao H, et al. Application effect of drug disposal mode in outpatients with schizophrenia in recovery period[J]. J Nurses Train, 2023, 38(4):346-349.
[21] 李锐铿. 整合治疗对精神分裂症患者社会功能康复的影响:1年随机对照研究[D]. 广州: 广州医科大学, 2017.
[22] 吴越, 范洁, 包炤华, 等. 无锡市社区严重精神障碍患者服药依从性及其影响因素研究[J]. 中国全科医学, 2020, 23(4):490-494.
[22] Wu Y, Fan J, Bao ZH, et al. Investigation on medication com-pliance of patients with severe mental disorders and its in-fluencing factors in the community of Wuxi[J]. Chin Gen Pract, 2020, 23(4):490-494.
[23] Gary R, Donald A, William H, et al. Guidelines for the Phar-macotherapy of Schizophrenia in Adults. Canadian journal of psychiatry[J]. Revue Canadienne de Psychiatrie, 2017, 62(9):604-616.
[24] Grover S, Chakrabarti S, Aggarwal M, et al. Comparative study of the experience of caregiving in bipolar affective disorder and schizophrenia[J]. Int J Soc Psychiatry, 2012, 58(6):614-622.
Outlines

/